The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Septic Abortion Caused by Candida glabrata Chorioamnionitis Following in Vitro Fertilization and Embryo Transfer

체외수정 및 배아 이식 후에 발생한 Candida glabrata 감염으로 인한 패혈 유산 1예

  • Lee, Seohyun (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Hee Jung (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoon, Da-Lim (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, Jung Eun (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hong, Hyo-Lim (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Hyun Jung (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Woo, Jun Hee (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine)
  • 이서현 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 박희정 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 윤다림 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 장정은 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 홍효림 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 박현정 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 우준희 (울산대학교 의과대학 서울아산병원 감염내과)
  • Received : 2012.02.24
  • Accepted : 2012.06.18
  • Published : 2013.03.01
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Abstract

Candida glabrata is a yeast that commensally colonizes the upper cervix and vagina and has low pathogenicity in immunocompetent hosts. Here we report a case of C. glabrata chorioamnionitis and septic abortion following in vitro fertilization and embryo transfer (IVF-ET). This case suggests that infection in the upper vagina and cervix should be considered prior to having IVF-ET. We encountered a rare case of C. glabrata chorioamnionitis and septic abortion; therefore, we report this case with a review of the literature.

본 증례는 체외 수정 및 배아 이식으로 다태아를 임신하였던 산모가 발열로 내원하여 조기 양막 파수가 선행되지 않은 조기 진통을 보이고 형태학적 이상이 없었던 사산아를 분만했던 경우이다. Candida glabrata가 자궁 내 감염 및 균혈증을 일으키고 이로 인해 태아사망을 유발하는 경우는 극히 드물다고 알려져 있었다. 이에 대해 아직까지 우리나라에서 보고된 예가 없어 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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